Individual
DR. MAMOON A. RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3341
(574) 296-3223
Mailing address
P.O. BOX 2968, ELKHART, IN 46515-2968
(574) 296-3341
(574) 296-3223
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01061775A
IN
Other
Enumeration date
05/11/2006
Last updated
09/19/2007
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